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Acute and Chronic Cardiovascular Response to 16 Weeks of Combined Eccentric or Traditional Resistance and Aerobic Training in Elderly Hypertensive Women: A Randomized Controlled Trial

dos Santos, Eduardo S.1; Asano, Ricardo Y.1; Filho, Irênio G.2; Lopes, Nilson L.2,3; Panelli, Paulo2; Nascimento, Dahan da C.1; Collier, Scott R.4; Prestes, Jonato1

Journal of Strength & Conditioning Research:
doi: 10.1519/JSC.0000000000000537
Original Research

Abstract: dos Santos, ES, Asano, RY, Filho, IG, Lopes, NL, Panelli, P, Nascimento, DdaC, Collier, SR, and Prestes, J. Acute and chronic cardiovascular response to 16 weeks of combined eccentric or traditional resistance and aerobic training in elderly hypertensive women: A randomized controlled trial. J Strength Cond Res 28(11): 3073–3084, 2014—Both aerobic (AT) and resistance training (RT) are recommended as nonpharmacological treatments to prevent hypertension. However, there is a paucity of literature investigating the effects of combined exercise modes (RT combined with AT) in elderly hypertensive women. Thus, our aim was to compare the postexercise hypotension (PEH) response to both protocol models and to assess the correlation between the degree of PEH after acute and chronic training. Furthermore, we also compared several biochemical variables for each training group. Sixty hypertensive older women were randomly assigned into nonexercised control (no systematic exercise training throughout the study), eccentric RT (ERT), and traditional RT (TRT). The training programs consisted of 16 weeks of RT combined with AT. Blood pressure (BP), biochemical profiles, and 1 repetition maximum (1RM) were evaluated. There was a significant increase in high-density lipoprotein (HDL) after both training regimens pre- to posttraining (combined ERT +5% and TRT +7%; p = 0.001 for both). There was a decrease in systolic BP (SBP) (combined ERT −19% and TRT −21%; p = 0.001 for both) and diastolic BP (DBP) (−13% for both; p = 0.001 for both). There was an increase in bench press 1RM (combined ERT +54% and TRT +35%; p = 0.001 for both) and leg press 1RM (combined ERT +52% and TRT +33%; p = 0.001 for both). The magnitude of decrease in SBP after acute exercise was moderately correlated with the drop in SBP after chronic training for the ERT combined with AT group (r = 0.64). Both combined training protocols are effective in promoting benefits in health-related factors (HDL, SBP, DBP, and 1RM). Considering the lower cardiovascular stress experienced during combined ERT, this type of training seems to be the most suitable for elders, deconditioned individuals, and hypertensives.

Author Information

1Graduate Program on Physical Education, Catholic University of Brasilia, Brasilia, Brazil;

2Research Group in Exercise Physiology (GEFEFIS), North-Northeast Cardiology Institute, Bahia, Brazil;

3Dom Pedro of Alcantara Hospital, Bahia, Brazil; and

4Vascular Biology and Autonomic Studies Laboratory, Appalachian State University, Boone, North Carolina

Address correspondence to Dr. Jonato Prestes,

Copyright © 2014 by the National Strength & Conditioning Association.